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WELL MONiTOR1NGISAMPLING <br /> • FIELD DATA SHEET <br /> Client/ <br /> Facility # `' � Job#: <br /> Address: <br /> Z10tesf e.�C �A�-Q Date: V13-0 Io t <br /> City: Sampler: U Dh <br /> Well ID 4J— Well Condition: <br /> Wall Diameter 2 Hydrocarbon Amount Bailed <br /> Thickness• v O (product/w"ed: <br /> Total Depth _ Z'/• r -tL Yam r—4.17 3-—0.38 4" 0.66 <br /> 6 Q z �� 6'.1-50 12'-5.80 <br /> Depth w Water _ �- <br /> ' - X VF .14 X a (es-,wlum-) - E-orn.t.d Purgr Vdunw: ! 'Gnu <br /> Purge Disposable Bailer SamPRng <br /> Equipment: Bailer Equipment: isposable Bailer <br /> Stack Ba <br /> , -1 Pressure Bailer <br /> `unin�ot s Grab Sample <br /> 0 Other. Other. <br /> Starting Time: 10: Weather Conditions:- .� <br /> Sampling Time: D V, Water Color: Odor. 71-0 <br /> Purging Flow Rate: _ i W Sediment Description: <br /> Did well de-water? if yes; Time: . Volume:._ low r <br /> Time Volume PH C=wkw"ty TemPcmt= D.O. ORP <br /> AUmUnW <br /> (S�.) (milli-) (mV) (Ppm) <br /> LABORATORY 1NFOREV AmON <br /> SAMPLE iD If)- CONTAINER REFRIG. PRESERV.TYPE LABORATORY ANALYSES <br /> X Vv} diAL 44 S�ezt t{Q 1 A M 1t5, <br /> COMMENTS: <br /> L <br />